Boyle, Evelyn Mary
Boyle, Evelyn Mary is an sole proprietor health care provider with primary practice located at 336 S Halcyon Rd , Arroyo Grande CA 93420-3818. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boyle, Evelyn Mary can be contacted via phone (805) 481-3658.Contact Information
Primary practice address
336 S Halcyon Rd
Arroyo Grande CA 93420-3818
Phone: (805) 481-3658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34614 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A84291 | California |
Profile Details
| NPI number | 1760443634 |
|---|---|
| LBN Legal business name | Boyle, Evelyn Mary |
| Credentials | MD., FAAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Feb 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760443634 | NPPES |
| South Carolina | MEDICAID | T-64560 | |
| South Carolina | Other | 370-018306 |
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